Research ArticleOpen AccessGoogle Scholar indexed
A Modified Technique to Facilitate Anastomosis in Choledochal Cyst
- 1
- 2
- 3
International Journal of Clinical Medicine·Volume 01 (2010)·Pages 73–74·Published 30 November 2010·DOI10.4236/ijcm.2010.12013
Copy link · social · email
Abstract
The method of choice for the treatment of choledochal cysts in children is excision of the cyst and Roux-en-Y (RY) choledochoenterostomy. When the ratio of the diameter of the main hepatic ductus to that of the proximal RY jejunum is 1:2.5 or lower during choledochoenterostomy, end-to-end anastomosis is recommended. However, this method may cause a difference in diameters between the ends. Here we will present the technical difficulty we experienced due to the difference in diameters in end-to-end RY choledochoenterostomy and our modified anastomosis technique of anas¬tomosis. This slight modification eliminated problems with anastomosis caused by a difference in the diameter of the jejunum and shortened operation time.
KeywordsAnastomosisCholedochCyst
- P. Puri and M. E. H?llwarth, Pediatric Surgery, 2006. pp. 371-386.
- A. Yamataka, H. Kobayashi, A. Shimotakahara, Y. Okada, T. Yanai, G. J. Lane, M. Urao and T. Miyano, “Recommendations for preventing complications related to Roux-en-Y hepatico-jejunostomy performed during excision of choledochal cyst in children,” Journal of Pediatric Surgery, Vol. 38, 2003, pp. 1830-1832.
- R. Ohi, S. Yaoita, T. Kamiyama, M. Ibrahim, Y. Hayashi and T. Chiba, “Surgical treatment of congenital dilatation of the bile duct with special reference to late complica?tions after total excisional operation,” Journal of Pedi?atric Surgery, Vol. 25, 1990, pp. 613-617.